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HomeMy WebLinkAbout07-14-0915056041147 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Cade Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO 80X.280601 2 1 0 8 12 15 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 11 27 2008 06 13 1916 Decedent's Last Name Suffix Decedent's First Name MI FALEY ALTHEA E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW X^ 1. Original Return ^ 2. Supplemental Return ~~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ^ yg. Future Interest Compromise ~~ 5. Federal Estate Tax Return Required (date of death after 12-12-82) 8 Decedent Died Testate (Attach Copy of Will) ~ ~ Decedent Maintained a Living Trust 0 8. Total Number of Safe De osit Boxes (Attach Copy of Trust) P ^ 9. Litigation Proceeds Received 1p, spousal Poverty Credit (date of death 11.Eleclion to tax under Sec. 9113 A ^ between 12-31-91 and i-1.95) ~~ (Attach Sch. O) ( ) CORRESPONDENT - THI5 SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number WAYNE M PECHT 717 691 9809r~ Firm Name (If Applicable) PECHT & ASSOCIATES, PC First line of address 1205 MANOR DRIVE, SUITE 200 Second line of address City or Post Office MECHANICSBURG State ZIP Code PA 17055 Correspondent's e-mail address: W p e c h t~ p e c h t l a W. C O m REGISTER aF`]ILS USE O~D LY ,~ -~- n r-- x r- .- rT~t _ _ _~7 ,~~ h ~: ` , . - ~ ~ ; c--> -tt _ ~,, -,-~ --t .. DATE FILED G1 ~~ r. ~ :.~ -.:~;~ _;a -; i ~"~ t,'.1 _~ ~~;: -, :} >,a Under penalties of erjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, complete. Declaration preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU E R N RES 8 FIL G RETURN DATE Thomas E. Faley ~~"~"~~~ ADDRESS 6 Red Oak Drive, Boi 17007 DATE Wayne M Pecht 3..19- zyU`~ ADDRESS 1205 Manor Drive, Suite 200, Mechanicsburg, PA 17055 Side 1 L, 15U56U41147 15056041147 J ~' _J 1505607220 REV-1500 EX Decedent's Social Security Number oeoedenrSName: Althea E. Faley RECAPITULATION 1. Real Estate (Schedule A) ........................................................................................... 1. 2. Stocks and Bonds (Schedule B) ................................................................................. 2. 6 2 4 , 16 5 . 0 2 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .............. 3. 4. Mortgages & Notes Receivable (Schedule D) ............................................................ 4. 5• Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) .................... 5. 6 0 , 0 3 4 . 6 6 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested .............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested .............. 7, 1 0 3 , 19 9 . 9 5 6. Total Gross Assets (total Lines 1-7) ........................................................................ 6, 7 8 7, 3 9 9. 6 3 9. Funeral Expenses & Administrative Costs (Schedule H) ............................................ 9. 17 , 7 8 1 . 6 2 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................... 10. 3 . 2 8 2 . 0 0 11. Total Deductions (total Lines 9 & 10) ....................................................................... 11 • 2 1 , 0 6 3 . 6 2 12. Net Value of Estate (Line 8 minus Line 11) .............................................................. 12. 7 6 6 , 3 3 6 . 0 1 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .................................................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................... 14, 7 6 6 , 3 3 6.01 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x .045 7 6 6, 3 3 6. 0 1 16. 3 4, 4 8 5.12 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17• 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 16• 0. 0 0 1 s. Tax Due ..................................................................................................................... 1 s. 3 4, 4 8 5.12 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505607220 150560722D J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-08-1215 DECEDENT'S NAME Althea E. Faley STREET ADDRESS Bethany Village CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InteresUPenalty if applicable p. Interest E. Penalty 33,000.00 1,724.26 Total Credits (A + B + C) (1) 34,485.12 (2) 34,724.26 (3) (4) 239.14 (5) (5A) (5B) Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. g. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ............... PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :............................. x b. retain the right to designate who shall use the property transferred or its income :......................................... ^ 0 c. retain a reversionary interest; or ..................................................................................................................... ^ ^ d. receive the promise for life of either payments, benefits or care? ................. . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..................................................................................... ^ ^ ..................................... x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ............... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. or dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) {1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)j. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ (6-98) SCHEDULE B STOCKS ~ BONDS continued COMMONWEALTN OF PENNSYLVANIA INNERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Faley, Althea E. 21-08-1215 ITEM CUSI NUMBER P NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 17 Vanguard 500 Index Fund Investor #040-09941902271 - 82.54 3 416.86 Per valuation letter from Vanguard and mean values , 11126 and 11128 per Scottrade 18 178.68 shares of Vanguard Growth 8L Income Fund 19.22 I 3 434 23 #0093-09941902271 -Per valuation letter from , . Vanguard and mean values 11/26/08 and 11/28/08 per Scottrade 19 40 shares of VERIZON GLOBAL FUNDINGS CORP 94.29 3 771.60 7.75% DUE 12/1/2030 (TBU37) -Per valuation letter , from Morgan Stanley dated 2/3/09 20 Wachovia Securities Account # 3070-4686 -Per 361 122.33 valuation letter from Wachovia Securities , TOTAL (Also enter on Line 2, Recapitulation) 624,165.02 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1503 EX+ (6-96) SCHEDULE B STOCKS & BONDS continued COMMONJVEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Faley, Althea E. 21-08-1215 ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 9 2,000 shares of HIGHLAND CREDIT STRATEGIES FD 6.355 12,710.00 (HFC) -Per valuation letter from Morgan Stanley dated 2!3109 10 1,080 shares of ING PRIME RATE TRUST (PPR) -Per 3.255 3,515.40 valuation letter from Morgan Stanley dated 2/3109 11 400 shares of JP MORGAN CHASE CAPITAL TRUST 21.945 8,778.00 7.0% DUE 2/15/2032 (JPM.J) -Per valuation letter from Morgan Stanley dated 213/09 12 430 shares of MORGAN STANLEY CAPITAL TRUST VI 13.455 5,785.65 6.6% DUE 2/1!2046 (MSJ) -Per valuation letter from Morgan Stanley dated 213109 13 375.941 shares of MS DIVIDEND GROWTH SECS B 11.08 4,165.43 (DIVBX) -Per valuation letter from Morgan Stanley dated2/3/09 14 2,315.276 shares of MS GLOBAL DIV GROWTH SECS A 8.00 18,522.21 (GLBAX) -Per valuation letter from Morgan Stanley dated 213109 15 3,514.1 shares of NUVEEN PENN.PREMINC MUNI FUND 8.685 30,519.96 2 (NPY) -Per valuation letter from Morgan Stanley dated 213!09 16 200 shares of UNITED STATES CELLULAR 7.5% DUE 13.775 2,755.00 6/15/2034 (UZV) -Per valuation letter from Morgan Stanley dated 2/3109 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule 8 (Rev. 6-98) Rev-1503 EX+16-98) SCHEDULE B STOCKS 8~ BONDS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Faley, Althea E. 21-08-1215 ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 17 ~ Vanguard 500 Index Fund Investor #040-09941902271 - 82.54 3,416.86 Per valuation letter from Vanguard and mean values 11126 and 11128 per Scottrade 18 178.68 shares of Vanguard Growth 8~ Income Fund 19.22 3,434.23 #0093-09941902271 -Per valuation letter from Vanguard and mean values 11126/08 and 11/28/08 per Scottrade 19 40 shares of VERIZON GLOBAL FUNDINGS CORP 94.29 3,771.60 7.75% DUE 1 211 12 0 3 0 (TBU37) -Per valuation letter from Morgan Stanley dated 213109 20 Wachovia Securities Account # 3070-4686 -Per 361,122.33 valuation letterfrom Wachovia Securities TOTAL (Also enter on Line 2, Recapitulation) 624,165.02 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, ~ MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENr DECEDENT ESTATE OF FILE NUMBER Foley, Althea E. 21-08-1215 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jointlyowned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Capital Blue Cross refund of unearned premium -Per Capital Blue Cross statement 427.60 of account 2 Members 1st Federal Credit Union Checking Account #32478-11 -Per Member's 1st 18,782.53 valuation letter dated 2/3/09 3 Members 1st Federal Credit Union Savings Account #32478-00 -Per Members 1st 6.75 valuation letter dated 2/3/09 4 Morgan Stanley Bank Deposit Program Mondey Market (BDPS) -Per Morgan Stanley 39,506.96 valuation letter dated 2/3/09 5 Prudential Alliance Account -Balance of account payable to Estate per letter and 1,310.82 check from Prudential TOTAL (Also enter on Line 5, Recapitulation) I 60 034.66 (If more space Is needed, addltlonal pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) • Rev-1510 EX+ (6-98) ,~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Faley, Althea E. 21-08-1215 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROP TY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECO'S INTEREST ExcLUSION (IF APPLICABLE) TAXABLE VALUE 1 Allstate Life Insurance Company Contract 81,291.67 81,291.67 #484963 -Date of death value per valuation letter from Allstate 2 Members 1st Certificate of Deposit # 32478-15 - 21,908.28 21,908.28 Per valuation letter from Members 1st dated 2!3109 TOTAL (Also enter on Line 7, Recapitulation) I 103,199.95 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+(~2-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES ~ ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Faley, Althea E. 21-08-1215 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION NUMBER AMOUNT A. FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees Pecht 8~ Associates, PC 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 5. Accountant's Fees 6. Tax Return Preparer's Fees Pecht ~ Associates 7. Other Administrative Costs See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 11,235.10 5,000.00 715.00 500.00 331.52 17,781.62 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF Faley, Althea E. FILE NUMBER 21-08-1215 ITEM NUMBER DESCRIPTION AMOUNT Funeral Exaenses 1 Diocese of Harrisburg/Cemeteries for bronze grave marker -Per letter and sales contract from Office of Catholic Cemeteries 850.00 2 Neill Funeral Home, Inc. -Funeral and related expenses per Statement dated January 14, 2009 10,385.10 H-A Subtotal 11,235.10 Other Administrative Costs 3 Cumberland County Register of Wills -Filing fee for Pa ITR 15.00 4 Cumberland County Register of Wills -Filing fee for Pa Inventory 15.00 5 Cumberland County Register of Wills -Filing fee for Family Settlement Agreement 20.00 6 Cumberland County Register of Wills -Additional Short Certificates g.p0 7 Cumberland Law Journal -Legal advertisement and proof of publication 75.00 8 The Sentinel -Legal advertisement and proof of publication 198.52 H-67 Subtotal 331.52 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAx RETURN RESIDENT DECEDEM SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, ~ LIENS ESTATE OF FILE NUMBER Faley, Althea E. 21-08-1215 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Bethany Skilled Nursing facility services patient responsibility -Per December 71.00 Invoice and check #105 payable to Bethany dated 1110/09 2 Bethany Village unpaid fees -Per January Invoice and check #111 payable to 50.00 Bethany dated 2/8109 3 Continuing Care Medications -Per Novmeber Invoice and check #108 518.00 4 IRS final personal income taxes -Paid per line #75 of the return 2,389.00 5 Pennsylvania Department of Revenue final personal income taxes -Paid per line 27 254.00 of the return TOTAL (Also enter on Line 10, Recapitulation) I 3 282 00 (If more space Is needed, addltlonal pages of the same size) ' Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV-1513 EX+(9-00} COMMONWEALTH OF PENNSYLVANIA SCHEDULE J BENEFICIARIES tSIAItt7F Faley, Althea E. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Katherine Faley-Wech PA 2 Joseph J. Faley 18548 Sandpiper Place Leesburg, VA 20176 3 Thomas E. Faley 6 Red Oak Drive Boiling Springs, PA 17007 II. FILE NUMBER 21-08-1215 RELATIONSHIP TO SHARE OF ESTATE MOU DECEDENT Words Do Not Llst Trusteelsl ( ) Granddaughter Son Son Named beneficiary of Members 1st FCU Certificate One-half of the residual estate One-half of the residual estate 1' OF ESTATE ($$$) 21,908.28 372,213.87 372,213.87 Total 766,336.02 Enter dollar amounts for distributions shown above on lines 15 throw h 18, asap ro riate, on Rev 1500 cover sheet NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-150u ~cneaule ~ (Rev. 6-98) PECHT & ASSOCIATES, PC Suite 200 1205 Manor Drive Mechanicsburg, PA 17055 Wayne M. Pecht Member of California Bar CPA/LLM in Taxation Rob Bleecher Herbert P. Henderson, II Telephone: 717-691-9809 Fax: 717-691-2070 e-mail: lstarlings@pechtlaw.com www.pechtlaw.com July 13, 2009 VIA FIRST CLASS MAIL Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 In re: Estate of Althea E. Faley, deceased SSN: 166-30-6073 Date of Death: November 27, 2008 Dear Ms. Farner Strasbaugh Enclosed are the original and two (2) copies of REV-1500 Inheritance Tax Return and the original and one (1) copy of the Inventory for the above-referenced Estate. Please clock-in the extra copies and return them to us. We have enclosed aself-addressed, stamped envelope for your convenience. Thank you for your attention to this matter. Very truly yours, ~ O ~; PECHT & ASSOCIATES PC _~~ ' ` ~` ~' ~ + ~ ~ `' ' , ~rn . .. S I 1 ~7 - c~~ pr ~ 1 j ~'}~ -i ... .. Lauren Starlings ' c 3 Enclosures Elizabethtown Office 55 West High Street Elizabethtown, PA 17022 717-367-2800 office 717-367-9400 facsimile PECHT & ASSOCIATES, PC 1205 Manor Drive, Suite 200 Mechanicsburg, PA 17055 iA'~ ;, ,,-; ,-r~ y/~r ; f "nn ~s~+ 14 P~ l ~LERC ~F ,, ~~, ~~~¢~C~ C' Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse i Lourtnouse square Carlisle, PA 17013 ~~p,N I CgeG ~ ' --U.S.PO~T" ~ JUL.12.Q9 c o ~ z ~ (~ 0 o ' 0 P ~ ~ POSTALIA 266: